We Are COMMUNITY BRIDGES. Annual Report

2 0 1 0 We Are COMMUNITY BRIDGES Annual Report

Our IMPACT In FY 2009-2010, CBI provided clinical services to over 33,000 men and women throughout the State of Arizona. Our Prevention and Community Education programs reached an additional 30,000 youth and adults. Over 450 employees dedicated to our mission. About COMMUNITY BRIDGES CBI was incorporated as a private non-profit, 501(c)(3) organization in 1982 and has a 29-year history of providing substance abuse prevention, education and treatment services. CBI utilizes cutting edge and nationally recognized treatment and prevention models. Our team of dedicated professionals is committed to providing community-building services through our education efforts and quality treatment for substance use disorders. 2 CBI 2010 Annual Report

Our Mission and Values The mission of CBI is to provide the highest quality Clinical Treatment, Family Preservation, Prevention, and Education services to reduce the negative impact of alcoholism and drug addiction. We Value Human Life The Sustaining of Human Life And the Recovery of Human Life Always with Dignity. Where WE SERVE CBI operates 16 programs throughout the State of Arizona Gilbert Glendale Globe Holbrook Mesa Payson Phoenix Winslow Yuma Coming Soon...Avondale Benson Casa Grande CBI 2010 Annual Report 3

of Directors CBI Board of Directors Executive Committee David Shumway, President Psychotherapist Mesa Counseling Center Member since 1985 Mike Whalen, Vice President Business Owner Former Mesa Councilmember Member since 1998 Kerry Ramella, Secretary Community Assistance Program Mgr. Phoenix Fire Department Member since 2009 Brandon Harrington, Treasurer Vice President Cohen Financial Member since 2007 Board Members Chief Kevin Kotsur Chief of Police City of Avondale Member since 1998 Kirsten Lundell Vice President Brock Supply Co. Member since 2005 Chief John Meza Assistant Chief Mesa Police Dept. Member since 2007 Kathleen Kelly Retired City of Mesa Member since 2009 Chief Larry Rodriguez Chief of Police City of Tolleson Member since 2009 Chief Jeri Williams Assistant Chief Phoenix Police Dept. Member since 2009 Honorable Kyle Jones Vice Mayor City of Mesa Member since 2009 Advisory Board Honorable Fulton Brock Maricopa County Supervisor Chief Greg T. Fowler, Chief of Police Northern Arizona University Honorable Tom Freestone, Retired Arizona State Senator Honorable Karen Johnson, Retired Arizona State Senator Honorable Michael Johnson Phoenix City Councilman Honorable John Ore Justice of the Peace Honorable Don Stapley Maricopa County Supervisor 4 CBI 2010 Annual Report

A Message from the A Message from the President/CEO Every day at Community Bridges, I am personally inspired by the hard work and dedication our staff puts forth to reduce the negative impact of alcoholism and drug addiction on our communities, and especially on our young people. Tens of thousands of lives were transformed this year by Community Bridges working closely with our Healthcare Partners (Regional Behavioral Health Authorities) Magellan Health Services, Cenpatico Behavioral Health, NARBHA- Northern Arizona Regional Behavioral Health Authority, and CPSA- Community Partnership of Southern Arizona. Over the past 14 years as President and CEO of this compassionate organization, I have had the distinct pleasure to work with our dynamic Board of Directors, our tireless executive leadership team, and hundreds of dedicated professionals who work selflessly to provide help and hope to those we serve. Today, Community Bridges employs over 450 individuals in programs providing services at 14 locations across the State of Arizona. During FY 2009-2010, CBI experienced another year of growth by expanding our services to Yuma County, and here in Maricopa County by expanding our capacity to offer housing opportunities, outpatient medical detoxification, and increased outpatient services for women. In 2010, our services have reached farther than ever before thanks in a large measure to the vision and support of the Magellan leadership team (led by Dr. Richard Clarke) and Cenpatico s forward looking leadership (Terry Stevens, CEO and Jay Gray, COO). Our clinicians provided emergency Crisis Care services to 20,034 men and women, while a total of 4,057 adults received lifesaving Medical Detoxification treatment services. Our Outpatient Behavioral Health Programs served 2,964 individuals at six different locations providing integrated services for individuals with co occurring disorders. The launch of our four Rural Stabilization Recovery Units (SRU s) in Payson, Globe, Winslow, and Holbrook have become an integral part of their respective communities, and a once unmet need, served 6,265 men and women this past year. The Center for Hope continues to be recognized as a national model best practice long-term residential treatment program dedicated to changing the lives of pregnant women and saving the lives of their babies. As I write this letter, we anticipate the birth of the 120th baby born to healthy women in strong recovery. We ve also been extremely active in Prevention. Our Prevention team delivered valuable services to over 30,000 youth and adults this year alone. All of these clinical and education programs are supported by an army of site managers, finance, maintenance, housekeeping, landscaping, and transportation specialists who keep our programs on target 24 hours a day, seven days a week. I am extremely proud of each of our employees. Every day I look back and I m amazed at the important work each of our hardworking staff members have performed and I look forward to tomorrow with the knowledge that Community Bridges will be here throughout Arizona changing individual lives and saving generations. To each of our employees, my personal thanks You are important, Your jobs are important, YOU are Community Bridges. Dr. Frank Scarpati President/CEO CBI 2010 Annual Report 5

Team Executive Leadership Team John Hogeboom Vice President Chief Operations Officer Shirley Brady Vice President Chief Financial Officer Tauna Miner Vice President Administration Jay Brown Vice President Facilities Management Kristen Polin Vice President Community Relations Kimberly Craig Vice President Women s & Children s Programs Jason Suttor Vice President Information Technology Agency Initiatives & Special Projects FY 2009-2010 Outpatient Medical Detoxification CBI implemented its first successful year of medically monitored ambulatory detoxification using buprenorphine combined with intensive outpatient treatment. This new level of care provides a whole-patient approach to the treatment of substance use disorders. (Magellan) Expansion of Women's & Children's Programs CBI has expanded the continuum of care provided to women and children by providing Permanent Supportive Housing to lowincome families. Our first fourplex property was purchased and rehabbed thanks to City of Mesa HOME funding. This property is located in Mesa and is now home to four women and their children. (City of Mesa CDBG) CBI 24/7 Access to Care Line Launched in 2010, a dedicated internal phone line now provides immediate access to our Peer Support Specialists (PSS) at all times. Individuals and families in need of our services are connected to our CBI systems of care network. (CBI) Applied Suicide Intervention Skills Training (ASIST) CBI exceeded its goal to train all 200 Magellan contracted clinical and prevention staff in ASIST. Nine internal trainings were held thanks to the efforts of four CBI ASIST trainers. (Magellan) Adolescent Outpatient Treatment CBI implemented our first year of adolescent treatment services (IOP, Ambulatory Detox, Family Counseling, etc.) to over 60 adolescents at the Center for Excellence. (Magellan) 6 CBI 2010 Annual Report

Program Directors A Tira Flowers Administrative Support Angelique Hernandez Facilities Management Maria Whaley Residential Operations Joy Meiner Residential & Community Programming Teresa Mahan Continuing Care Art Hoesterey Finance/Controller Stephanie Siete Community Education Joronda Montaño Prevention Mekayela Neely Crisis Services Scott Hatlen Quality Management Miner Fleming Nursing Meredith Mechenbier Clinical Services Johnny Casas Peer Support/ Outreach Danise Leveille Training/Education The Future of CBI CBI will begin the operation of six new contracts in 2011. A new Stabilization & Recovery Unit (SRU), Outpatient Services Center (OSC), and Community Outreach will open in Casa Grande. (Cenpatico) A residential facility for psychiatric and substance abuse treatment will reopen under CBI leadership in Benson. This campus will also offer an SRU, OSC, and Community Outreach. (Cenpatico) A new OSC will open in Winslow. (NARBHA) A new crisis stabilization and transition facility in Avondale will bring a higher level of substance abuse and mental health treatment to the West Valley. (Magellan) A new SRU will open in Mesa. (Magellan) Telemed services are now offered at five outpatient locations throughout the State of Arizona. CBI is working hard to have 15 service locations operational in 2011. (CBI) CBI is going green. In one year, our goal is to have Electronic Medical Records (EMR) fully implemented at all service sites. (CBI) Our Women s and Children s Programs was the recipient of a Housing and Urban Development (HUD) Permanent Supportive Housing grant that will provide rental assistance to approximately 20 families for two years. The program design includes a service component to ensure the success of women who struggle to maintain permanent and safe housing for their families. (HUD) CBI 2010 Annual Report 7

& Community Education Prevention & Community Education The CBI Prevention Partnership provides community-based prevention programs that promote healthy lifestyles to youth, families, and community members. Our staff also provides educational workshops for parents, teachers, law enforcement, the faith community, and the community at large. Our dynamic presentations elevate awareness about local substance abuse trends, signs and symptoms of abuse, and local resource information. In 2008, CBI launched the Mesa Prevention Alliance (MPA). Today the Coalition has an active membership of over 200 members involving all segments of the community. FY 2009-2010 Accomplishments The Prevention Partnership served 30,605 youth and adults. The Circle of Hope Program provided education to homeless families in Phoenix and Mesa. 179 Diversion Workshops were provided for youth and parents through our Next Step Program. 158 trainings were provided to 6,399 adults and 3,511 youth. In the Community & Online 51 Community Events 59 Collaborative Meetings MySpace & Twitter www.myspace.com/get_real_now www.twitter.com/get_real_now OUR MISSION Addressing youth substance abuse through education, prevention, and healthy alternatives. www.mesapreventionalliance.ning.com 8 CBI 2010 Annual Report

Women s & Women s & Children s Programs The Center for Hope The Center for Hope (CFH) is a unique and nationally recognized Best Practice program that provides housing and treatment services to pregnant and parenting women. CFH offers long-term support and residential services to pregnant women in need of a safe and structured environment to address their physical, mental, and emotional health needs. CFH offers group and individual counseling, parenting programs, relapse prevention, job skills training, housing, family counseling, and an on-site child development center for toddlers and infants. CBI s Women s and Children s Programs have expanded to provide gender responsive services in the East Valley. ASPIRE is located in Mesa, and is home to our existing Continuing Care Program, as well as our new outpatient program, that is available to all women in need of services. ASPIRE consists of on-site childcare, career center programs and computers, and group and conference rooms where evidence-based practices provide women with trauma-informed individual and group services designed to meet their unique needs. FY 2009-2010 Outcomes Women Served The CFH provided services to a total of 91 women. 38 of those women received services in our long-term residential program; the remaining 53 participated in outpatient services as part of their continuing care program. Children Served 19 babies were born substance free to women residing at the CFH. Five toddlers (age four or under) resided at the CFH with their mothers and participated in our on-site child development programs. Program Retention & Longevity 76% of the total discharges were the result of women meeting their treatment plan goals and objectives. 66% of the women who completed the program had been in treatment seven months or more. Housing 81% of the women transitioning from the CFH went into permanent supportive housing at the time of discharge. The CFH provided housing assistance to 27 families helping them obtain or maintain housing in the community. Employment 33% of the women who completed the program were employed full-time with income at the time of discharge. CBI 2010 Annual Report 9

Support & Outreach CBI Peer Support & Outreach CBI Peer Support Staff are dedicated to on-site support for all of our clinical programs and have an enormous impact in the community. Statewide, we employ over 300 Peers who partner with and support the following on a daily basis: Valley of the Sun United Way Project Homeless Connect Southwest Behavioral Health Law Enforcement and Emergency Responders: Phoenix, Avondale, Glendale, Mesa, Peoria, Scottsdale, Tempe, Globe, Payson, Winslow, Holbrook, and Yuma. Home, Inc. Blueprints to Life Program Crisis Intervention Training (CIT) for Mesa & Phoenix PD Central Arizona Shelter Services (CASS) Lodestar Day Resource Center (LDRC) ABC Housing V.A. Hospital Veteran Affairs Blueprints to Life is a Substance Abuse and Mental Health Services Administration (SAMHSA) funded program that is a unique collaboration between CBI, the Central Arizona Shelter System (CASS), and the Phoenix Police Department. Blueprints to Life is based on the theory that utilizing peer-to-peer services will increase the credibility and availability of existing resources within the greater community. The CBI Peer Support Certification Program consists of 100 hours of classroom training evaluated by a final written test and demonstrated skills. This training occurs during a three-month period which includes on-the-job training and intensified clinical supervision. Applied Suicide Intervention Skills Training (ASIST), American Society of Addiction Medicine Patient Placement Criteria (ASAM-PPC), Integrated Behavioral Health Outreach, and Crisis Intervention are a few items that are included in the training curriculum. CBI currently has 30 Peers who have achieved Certified status since the program began. In FY 2009-2010, the Blueprints to Life team reached out to 3,069 men and women on the streets. 2,301 individuals entered into group counseling, and over 550 enrolled into Outpatient Services. 10 CBI 2010 Annual Report The first Certified Peer Support Team in 2010

The CBI of The CBI Continuum of Care Crisis Stabilization Crisis Stabilization can last up to a maximum of 23 hours on our Crisis Observation Units. Services include medically monitored stabilization, triage, evaluation, assessment, and transitional services for individuals who have either used a substance within the last five days, or are currently experiencing a substance or co-morbid related crisis. Direct admissions into our ambulatory detoxification programs are also facilitated 24/7 from Crisis. In FY 2009-2010, 20,034 clients were admitted to our 23-hour crisis services at CCARC & EVARC. a Medical Detoxification Our inpatient medical detoxification centers utilize physician-directed protocols with nationally recognized Best Practice approaches. These medical protocols are directed by licensed medical practitioners and are supported by our clinical team of registered nurses (RN), behavioral health specialists, peer support specialists, and transition coordinators. In FY 2009-2010, 4,057 men and women received medical detoxification at ABR, EVARC & CCARC. a Transition Upon completion of the program, our clinical team develops a comprehensive discharge plan with each individual that takes into account all six dimensions of the American Society of Addiction Medicine Patient Placement Criteria in order to maximize successful transition to the next level of care. Group, Family, & Individual Counseling Psychiatric Evaluation Medication Services Housing & Shelter Support Groups Pathway to Hope CBI 2010 Annual Report 11

S R U 's & Residential Treatment Stabilization and Recovery Units & Residential Treatment Rural Stabilization & Recovery Units CBI operates four SRU's in Gila, Pinal, and Navajo Counties. These licensed Level IV facilities are funded by Cenpatico Behavioral Health and NARBHA and provide the following services: Crisis Intervention, Triage, Stabilization & Short-term Recovery Services (three-five days) Our SRU programs in Winslow and Holbrook have been integrated into the surrounding communities by offering traditional Native American services such as Talking Circles and use of the White Bison Recovery Model. Many of our Peers in Winslow and Holbrook are tribal members and deliver services in their native language to ensure involvement from participants and their families. Peer Support & Community-Based Outreach Counseling Services, Transition & Referral Continuing Care Family Support Programs In FY 2009-2010, 6,265 men and women were served at our facilities in Payson, Globe, Winslow, and Holbrook. CBI provided 9,500 bed days with an 89.81% completion rate. The Yuma Lighthouse The Lighthouse is a 24 bed (12 psych & 12 substance abuse) residential program in Yuma funded by Cenpatico Behavioral Health. The following services are provided at the Center: Psychiatric & Co-occurring Substance Use Disorder Treatment Transition & Brief Intervention Counseling & Peer Support Services Transportation Assistance Our clinical staff provided services to 147 men and women since the program opened in January 2010. The average length of stay was approximately 28 days. A Special Thanks to Our Partners in Recovery Gila County Sheriff's Department Gila County Board of Supervisors Payson Regional Medical Center Cobre Valley Medical Center Gila County Probation Department Resolution Copper Mine Gila County Meth Coalition Superior Substance Abuse Coalition Copper Basin Coalition Globe Fire Department Gila County Health Department San Carlos Wellness Center Freeport McMoRan Mine Guayos on the Trail Restaurant Gila County Attorney's Office Arizona Youth Partnership Pinal County Sheriff's Office Hopi Alliance Against Substance Abuse (HAASA) Globe City Council White Mountain Apache Tribe Little Colorado Medical Center 12 CBI 2010 Annual Report

Outpatient Behavioral Health Outpatient Behavioral Health Programs CBI s numerous Outpatient Programs provide substance abuse and mental health treatment for men and women throughout the state of Arizona. All of our programs provide Best Practice behavioral and cognitive modalities. In FY 2009-2010, CBI Outpatient Behavioral Health Programs throughout the State served over 2,964 individuals combined for our programs at Journey, Center for Excellence, LDRC, Steele Commons, Payson OSC, and Globe OSC. Medically Monitored Outpatient Detoxification During FY 2009-2010: 475 patients enrolled with Magellan Health Services were diverted to a CBI outpatient SuboxoneTM treatment protocol in lieu of more costly higher levels of care. 2,137 inpatient detox bed days were saved and added capacity to the system by offering CBI OP Opiate Detoxification services. 62% completed the extended outpatient SuboxoneTM protocol successfully. 37% completed the shorter duration outpatient SuboxoneTM protocol successfully and continued in IOP services. 4,750 hours of crisis services were saved by offering CBI Outpatient Opiate Detoxification services. Journey Gilbert Center for Excellence Phoenix Group, Family & Individual Counseling Services Outpatient Detox-SuboxoneTM, Psychiatric Evaluation & Medication Services, Peer Support, DUI Screening Steele Commons Phoenix Sixteen Long-term Housing Units in Partnership with Central Arizona Shelter Services (CASS), Counseling Services, Psychiatric & Addiction Medication Services, Peer Support & Outreach Lodestar Day Resource Center (LDRC) Phoenix Counseling Services for Homeless & Transitioning Adults, Outpatient Detox-SuboxoneTM, Psychiatric Evaluation & Medication Services, Peer Support & Outreach Outpatient Services Payson & Globe Counseling Services, Psychiatric & Addiction Medication Services, Peer Support & Outreach CBI 2010 Annual Report 13

FY 2009-2010 Professional Af f iliations Alliance of Arizona Nonprofits American Society for Addiction Medicine (ASAM) American Counseling Association Arizona Association of Alcoholism and Drug Abuse Counselors Arizona Coalition to End Homelessness Arizona Council of Human Service Providers Chambers of Commerce: Avondale, Benson, Casa Grande, Gilbert, Glendale, Globe, Holbrook, Mesa, Payson, Phoenix, Winslow, & Yuma Community Anti-Drug Coalitions of America (CADCA) East Valley Partnership Maricopa Association of Governments (MAG) Maricopa Consumers, Advocates, & Providers (MCAP) The Association for Addiction Professionals (NAADAC) The National Council Organization for Nonprofit Executives- ONE West Valley Human Services Alliance West Valley Police Chiefs Association Regional Behavioral Health Authorities (RBHA s) $21,035,969 Expenses $23,685,790 Direct Costs, Salaries & Expenses (ERE) $15,814,081 Fee for Service $1,386,065 Federal Grants $997,956 Prevention Grants, Cities & Other $695,413 Valley of the Sun United Way $80,736 In-Kind Donations $424,343 Administration $1,919,127 Operating Costs $4,728,239 Revenue $24,620,482 Reserves for Future Construction $800,000 In-Kind Expenditures $424,343 In FY 2009-2010, CBI had over 450 employees. 63,000 individuals were served. CBI hired 253 new employees throughout the state. CBI runs an effective administrative operation at or below 8% of its total operating budget. 14 CBI 2010 Annual Report

Special Recognition & Donor Special Recognition & Donor Support We change lives with your help... Thank You! CBI would like to thank the Broadway Palms Dinner Theatre West for supporting CBI during their live performances of the Bill W. and Dr. Bob National Tour in May and June. Their generous contribution helped us expand our outreach efforts to promote recovery programs and assist individuals who struggle with addiction. Friends of the Center for Hope CBI is thankful for the support of the Apache Wells Women's Foundation who held their annual baby shower event to benefit the Center for Hope. Their involvement for the past six years has resulted in over 119 baby showers for women at the Center. The DeFalco Family Foundation Gila County Sheriff's Department Gila County Supervisor Shirley Dawson Great American Title Agency The Grier Family Jerry Brock The Johnson Family Jones, Skelton & Hochuli, P.L.C. Judy Tapscott Kathleen Kelly The Kominska Family Mesa United Way Resolution Copper Mine Shirley Brock Specialcare Hospital Management The Steele Family Foundation CBI 2010 Annual Report 15

Agency Contracts FY 2009-2010 NARBHA Northern Arizona Regional Behavioral Health Authority Recovery is Possible. The Navajo Nation Community Bridges Can Help. City of Chandler 24/7 Access to Care 877-931-9142 www.communitybridgesaz.org In addition to the above, CBI contracts with over 20 private health plans.